| NPI | 1225567233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX U2425) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125070076) |
| 207R00000X Internal Medicine (Licence: KY 53977) | |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2023-10-18 |