| NPI | 1053758938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: PA MD458369) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT-204500) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2021-09-07 |