| NPI | 1508013517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: CA A109097) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CA A109097) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2024-04-15 |