| NPI | 1881846483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 243893) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A107221) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2013-07-08 |