| NPI | 1568184588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2023011713) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036.091088) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 04-31521) | |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2023-08-07 |