| NPI | 1578946406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: IA MD-48076) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-48076) |
| 207R00000X Internal Medicine (Licence: MI 4301107316) | |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2021-09-13 |