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 |