| NPI | 1134499858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 50817) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125060465) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2022-09-22 |