| NPI | 1447268297 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: FL ME90331) | 
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME90331) | 
| Enumeration Date | 2006-08-04 | 
| Last Update Date | 2018-05-09 |