| NPI | 1295774164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NC 2018-02022) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME63177) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2018-02022) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2022-06-09 |