| NPI | 1154595049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: OH 35133922) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 203402) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA 203402) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2024-08-07 |