| NPI | 1063641157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 67714) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT195216) |
| 207R00000X Internal Medicine (Licence: MI 4301100128) | |
| 207R00000X Internal Medicine (Licence: IL 036135124) | |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2022-07-21 |