| NPI | 1790736155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: DC MD210003079) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P3066) |
| 207R00000X Internal Medicine (Licence: FL ME 93827) | |
| 207RH0000X Internal Medicine, Hematology (Licence: TX P3066) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX P3066) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2024-09-16 |