| NPI | 1861580441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NC 2007-01374) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 44740) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2021-04-01 |