| NPI | 1386160596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: UT 11731045-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE TEP8102) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: UT 11731045-1205) | |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2023-08-23 |