| NPI | 1174580278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: OH 35081703) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35081703) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2011-04-14 |