| NPI | 1508750761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: IA SP-0307) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA SP-0307) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IA SP-0307) | |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2025-07-22 |