| NPI | 1720181563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD10598) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: TN MD10598) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |