| NPI | 1174747323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NV 16308) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: NV 16308) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2019-05-22 |