| NPI | 1023332566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: FL OS014448) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA os016868) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2018-06-25 |