| NPI | 1831196252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TX M5776) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NY X000830) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2012-07-12 |