| NPI | 1801209853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA ETL5016) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125064472) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036142529) | |
| Enumeration Date | 2014-06-07 |
| Last Update Date | 2020-06-22 |