| NPI | 1629288659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036.120707) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ PG Permit# 80968) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-04-08 |