| NPI | 1407172232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: OH 35128151) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP1-0036666) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2016-04-28 |