| NPI | 1134154834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME26139) |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: FL ME0026139) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2015-07-28 |