| NPI | 1306828009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 049842) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: MI 049842) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2019-06-04 |