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 |