| NPI | 1376908913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: ND 17432) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2018009560) |
| 207RH0000X Internal Medicine, Hematology (Licence: IL 125.074024) | |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2022-07-28 |