| NPI | 1770599664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: PA MD492190C) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: OH 35.079105) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2026-02-03 |