| NPI | 1801915822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO DR-50375) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-115327) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A98326) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2013-06-10 |