| NPI | 1508013517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: CO DR.0078119) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A109097) |
| 207RH0000X Internal Medicine, Hematology (Licence: CA A109097) | |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2026-09-25 |