| NPI | 1891769766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MN 41605) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 41605) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2020-08-13 |