| NPI | 1669903548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MA 1015375) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1015375) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 1015375) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2023-07-05 |