| NPI | 1689055832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 283332) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125066909) |
| Enumeration Date | 2015-06-13 |
| Last Update Date | 2024-08-14 |