| NPI | 1700862828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.065154) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35065154C) |
| 207RH0000X Internal Medicine, Hematology (Licence: OH 35065154C) | |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2023-01-13 |