| NPI | 1952621831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MA 265408) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 244635) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 244635) | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2016-05-31 |