| NPI | 1578897195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: OH 35.129433) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P0959) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2020-12-28 |