| NPI | 1750730859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: SC 39582) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL39582) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2022-08-15 |