| NPI | 1336502731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: CO DR.0068320) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0068320) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2023-01-17 |