| NPI | 1790703312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: GA 59290) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TX L9354) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2019-07-05 |