| NPI | 1164872537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MI 4301117307) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301117307) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2023-08-01 |