| NPI | 1134195159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: VA 0102207694) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: SD 6042) |
| 207RH0000X Internal Medicine, Hematology (Licence: WI 44942) | |
| 207RH0000X Internal Medicine, Hematology (Licence: OH 34.010546) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2023-06-29 |