| NPI | 1487970570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: SC 83526) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD449181) |
| 207R00000X Internal Medicine (Licence: IL 125056594) | |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2022-03-02 |