| NPI | 1689647042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: KY 20643) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: IN 01036269a) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2021-01-19 |