| NPI | 1033562327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 65266) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.068306) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2023-12-08 |