| NPI | 1982010583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: OR MD218331) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 323286) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA 323286) | |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2024-04-19 |