| NPI | 1033592035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 72453-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.067089) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2020-05-26 |