| NPI | 1457872715 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: VT 042-0016793)  | 
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VT 042.0016793)  | 
| Enumeration Date | 2017-06-27 | 
| Last Update Date | 2023-11-28 |