| NPI | 1346586765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036157632) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 59253) |
| 207R00000X Internal Medicine (Licence: NY 276784) | |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2021-09-27 |