| NPI | 1386907681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: LA MD.207918) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: IL 036.146480) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2022-12-30 |