| NPI | 1770898900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: SC 39373) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-058489) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2013015488) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 39373) | |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2022-03-02 |