| NPI | 1225015662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MN 45639) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NY 272917) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2023-03-21 |