| NPI | 1861151441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: AZ 75591) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NY 310776) |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2025-11-24 |