| NPI | 1174054159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MA 1013711) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 309339) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2023-05-03 |