| NPI | 1891832630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MN 55304) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 044967) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-14 |