| NPI | 1982751053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: CA G87296) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G87296) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2024-04-15 |