| NPI | 1215997085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD450472) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: IL 036113770) |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2013-12-20 |