NPI | 1871704304 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: PA MD440073) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN MD440073) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2025-05-27 |