| NPI | 1194456798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 294430) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 125.085155) |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2025-07-07 |