| NPI | 1770100596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 87049-20) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036.164262) |
| 207R00000X Internal Medicine (Licence: IL 125.076072) | |
| Enumeration Date | 2020-06-27 |
| Last Update Date | 2026-07-14 |