| NPI | 1881028884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MN 73972) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD461133) |
| 207R00000X Internal Medicine (Licence: NJ 25MA09969600) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 73972) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036.149888) | |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2023-10-25 |