| NPI | 1720340169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: CA A164997) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10043098) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2020-11-10 |