| NPI | 1659535615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 56191) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 53546) |
| 207R00000X Internal Medicine (Licence: IL 125050705) | |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2024-04-17 |