| NPI | 1306376488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101285411) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.071039) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2025-06-15 |