| NPI | 1902900384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: OR MD29381) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A79757) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD29381) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2018-03-22 |