| NPI | 1922181189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: SC AL32064) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NC 27462) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC AL32064) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2015-08-10 |