| NPI | 1659539021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: CA A122348) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 228070) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A-122348) | |
| Enumeration Date | 2008-06-01 |
| Last Update Date | 2022-03-23 |