| NPI | 1871933770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MN 60279) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 006444) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2020-08-18 |