| NPI | 1942258751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN MD39892) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 056539) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2013-01-28 |