| NPI | 1679923817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: MA 278961) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 278961) |
| Enumeration Date | 2016-06-19 |
| Last Update Date | 2023-05-03 |