| NPI | 1285157107 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MN 73316) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01084102A) |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2023-10-27 |