| NPI | 1194712240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 35694) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NC 35694) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2023-12-18 |