| NPI | 1912008921 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 25121) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 25121) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2014-12-01 |