| NPI | 1508278169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MA 274907) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 274907) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2025-10-24 |