| NPI | 1902269335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME181224) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: KS 04-46373) |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2026-07-02 |