| NPI | 1508271701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD195258) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.064385) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2022-01-18 |