| NPI | 1942204334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: SC 21412) |
| Additional Taxonomies | 174400000X Specialist (Licence: SC 21412) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2010-08-06 |