| NPI | 1699784710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: IN 01062699A) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: OH 35077012) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2026-03-17 |