| NPI | 1245890003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MN 67820) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 67820) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 67820) | |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2025-07-01 |