| NPI | 1083645303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MD D03781) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D03781) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2013-02-19 |