| NPI | 1619981768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: CO 0057153) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: IL 036.079516) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2018-11-16 |