| NPI | 1922089747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME116373) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OK 28217) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2013-10-30 |