| NPI | 1114155603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MN 57132) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 106963) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 57132) | |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2020-08-21 |