| NPI | 1649271438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: FL ME158787) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NV 6440) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NH 15718) | |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2023-03-01 |