| NPI | 1245276922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: FL ME25906) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME25906) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL 25906) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2023-10-23 |