| NPI | 1306157458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: CO 72189) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP01899) |
| 207R00000X Internal Medicine (Licence: FL ME115594) | |
| 207RH0000X Internal Medicine, Hematology (Licence: OR MD205893) | |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2024-09-23 |