| NPI | 1114288859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: OH 35.124243) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35124243) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2025-01-31 |