| NPI | 1477867877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: CA A154669) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-8710) |
| 207R00000X Internal Medicine (Licence: MI 4301095899) | |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2020-11-11 |