| NPI | 1952618985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NM MD2013-0623) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2013-0623) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2025-11-05 |