| NPI | 1700863677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: OR MD157208) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD157208) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2021-01-18 |