| NPI | 1912024910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: CA A104041) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A104041) |
| 207R00000X Internal Medicine (Licence: TX M1475) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-11-05 |