NPI | 1548470347 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: OH 35.134740) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WV 22092) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2020-12-18 |