| NPI | 1588239461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME174589) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036167500) |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2025-07-18 |