| NPI | 1033245840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: CA G70263) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CA G70263) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-11-11 |