| NPI | 1821017021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 35863) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 35863) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2016-10-04 |