| NPI | 1750721932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 70557) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: MN 71790) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2023-08-21 |