| NPI | 1598969644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 55540) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036113675) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01064963A) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2017-10-27 |