| NPI | 1871517433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NE 19712) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D42655) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 043085) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2015-11-03 |