| NPI | 1629174552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: CA A78860) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A78660) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-11-18 |