| NPI | 1871591990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME77024) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: DC 18605) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2016-11-09 |