| NPI | 1356359640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: OH 35061774) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: OH 35061774) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-12-28 |