| NPI | 1992021083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: GA 73859) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 164985) |
| 207U00000X Nuclear Medicine (Licence: GA 73859) | |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2015-12-31 |