| NPI | 1790006971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MI 4301107060) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054544) |
| 207R00000X Internal Medicine (Licence: MI 4301107060) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301107060) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2020-02-14 |