| NPI | 1760536841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: CA G128304) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: MA 56147) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2022-11-03 |