| NPI | 1225476484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: CA A139997) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10047617) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2019-06-17 |