| NPI | 1831464130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MO 2019020900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C10011397) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2019-08-06 |