| NPI | 1487186896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MN 69228) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 69228) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL MD.37680) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2024-06-24 |