| NPI | 1770575185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MN 44923) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 18560) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 37710) | |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2020-08-12 |