| NPI | 1912325887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NM MD2022-0581) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: MI 4301114283) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2023-07-14 |