| NPI | 1871704304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: PA MD440073) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN MD440073) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2025-05-27 |