| NPI | 1164862652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: SC 84340) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301103174) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 84340) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2023-10-25 |