| NPI | 1124181995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NC 30893) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 30893) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |