| NPI | 1982876272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: TX M6497) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M6497) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2012-07-27 |