| NPI | 1588068597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NC 2022-00348) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2018019594) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2022-00348) | |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2024-12-05 |