| NPI | 1104370477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ND PT21039) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.069415) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 125.069415) | |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2024-07-25 |