| NPI | 1003019571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: FL ME155083) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WV 23530) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD432738) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2023-01-27 |