| NPI | 1013947993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: WI 26690-20) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: MN 18665) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2011-05-09 |