| NPI | 1407844574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: KY 50871) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: LA MD.205855) |
| 207RH0000X Internal Medicine, Hematology (Licence: PA MD 422827) | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2018-10-11 |