| NPI | 1396183661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: VA 0101277467) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 6105) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 75725) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2023-06-22 |