| NPI | 1992703862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MD D0035917) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: DC 21035) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2023-01-03 |