| NPI | 1043622855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: OH 35.145133) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 35.145133) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2022-07-13 |