| NPI | 1053342154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: TN 64264) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 64264) |
| 207R00000X Internal Medicine (Licence: OH 35.122290) | |
| 207RH0000X Internal Medicine, Hematology (Licence: OH 35.122290) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2022-01-27 |