| NPI | 1275683062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0039939) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: MD D39939) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2021-03-24 |