| NPI | 1649626508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MI 4301511990) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 301369) |
| 207R00000X Internal Medicine (Licence: NY 301369) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2024-07-01 |