| NPI | 1750994513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OK 43419) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125075417) |
| Enumeration Date | 2020-08-30 |
| Last Update Date | 2024-07-01 |