| NPI | 1215015490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ID M7649) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: ID M-11925) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2025-07-28 |