| NPI | 1104916881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: CO DR.0021841) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO 21841) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2018-11-16 |