| NPI | 1316482128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MD D0063489) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: CO 28397) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |