| NPI | 1134495021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: FL ME137418) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 272574) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2018-08-01 |