| NPI | 1043574098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: MI 4301106863) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301106863) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2019-01-09 |