| NPI | 1952508533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: OK 29637) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI L1791502) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2015-05-29 |