| NPI | 1285699439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MA 49947) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 49947) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2014-05-09 |