| NPI | 1275849788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.127465) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125057348) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2016-06-22 |