| NPI | 1912351826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0102209824) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: MN 71421) |
| Enumeration Date | 2016-04-17 |
| Last Update Date | 2026-07-15 |