| NPI | 1295228484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO DR.0072348) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125071865) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 308784) | |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2024-08-06 |