| NPI | 1427497338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: OH 35.126897) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.022424) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2020-12-17 |