| NPI | 1245432467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MA 258434) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD13347) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 258434) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2014-07-21 |