| NPI | 1821103326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI 5363) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: RI MD05363) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2013-09-16 |