| NPI | 1184943730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: CA A140273) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.016554) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2022-07-01 |