| NPI | 1740371194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME1133396) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NY 191073) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2012-07-16 |