| NPI | 1477634426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD011726E) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: PA MD011726E) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2009-03-04 |