| NPI | 1801277348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: MA 292784) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: MA 292784) |
| 207R00000X Internal Medicine (Licence: IL 125067533) | |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2023-11-29 |