| NPI | 1376962761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NC 2018-02156) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NC 226012) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2021-03-30 |