| NPI | 1902179906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: OH 35.154704) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: SD 8256) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2025-12-09 |