| NPI | 1417214974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NY 327095) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.136281) |
| 207R00000X Internal Medicine (Licence: DC MD042900) | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2024-04-01 |