| NPI | 1134449630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MN 57086) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT196623) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 57086) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 106999) | |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2020-08-20 |