| NPI | 1073660635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: NJ 25MA08077400) |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: VA 0101038029) |
| 207RH0000X Internal Medicine Hematology (Licence: NC 25483) | |
| 207RH0000X Internal Medicine Hematology (Licence: PA MD428417) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2010-07-13 |