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 |