| NPI | 1003299330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: ND 17933) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301107926) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: FL ME135338) | |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2022-12-28 |