| NPI | 1780857375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 074148) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042-0012239) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2015-10-08 |