| NPI | 1164957437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: NY 317897) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ZZ 1-29378) |
| 207RH0000X Internal Medicine, Hematology (Licence: ZZ 1-2717) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX BP10058924) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 317897) | |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2023-07-17 |