| NPI | 1164928107 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME149888) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME149888) |
| 207RH0000X Internal Medicine, Hematology (Licence: MT MEDPHYSCOM-LIC-16658) | |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2026-03-18 |