| NPI | 1407174782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2023-00863) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2023-00863) |
| 207ZH0000X Pathology, Hematology (Licence: NC 2023-00863) | |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2023-12-18 |