| NPI | 1386804409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NC 2013-01292) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2013-01292) |
| 207R00000X Internal Medicine (Licence: PA MD433151) | |
| 207R00000X Internal Medicine (Licence: PA MT183411) | |
| 207RH0000X Internal Medicine, Hematology (Licence: PA MD433151) | |
| 207RH0000X Internal Medicine, Hematology (Licence: PA MT183411) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2020-11-18 |