| NPI | 1619199486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: TN MD50142) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 52996-20) |
| 207R00000X Internal Medicine (Licence: TN MD50142) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036167285) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2024-01-09 |