| NPI | 1639333263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR PG158554) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054173) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2021-03-12 |