| NPI | 1790976363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A94183) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A94183) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2017-01-31 |