| NPI | 1598956963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ID O-0975) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-051396) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2020-04-21 |