| NPI | 1922615665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: TX U5399) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NY 304347-01) |
| Enumeration Date | 2020-09-27 |
| Last Update Date | 2023-10-19 |