| NPI | 1144776360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MT MED-PHYS-LIC-117889) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125069401) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2023-08-17 |