| NPI | 1225090319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G170394) |
| Additional Taxonomies | 207RI0001X Internal Medicine, Clinical & Laboratory Immunology (Licence: IL 036090001) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2023-02-17 |