NPI | 1821544115 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: FL ME162767) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10648300) |
Enumeration Date | 2016-08-28 |
Last Update Date | 2023-07-07 |