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 |