| NPI | 1932158615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: VA 0101254724) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: PA MD023733E) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2013-08-29 |