| NPI | 1154336964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NH 8873) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 8873) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2011-07-08 |