| NPI | 1093899981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: FL ME147761) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: GA 064441) |
| 207RH0000X Internal Medicine, Hematology (Licence: PA MD431888) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 55891) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2021-11-24 |