| NPI | 1386978757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036.169094) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 54979) |
| 207R00000X Internal Medicine (Licence: FL ME149591) | |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2024-08-23 |