| NPI | 1801893979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MO 102149) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: IL 036084741) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2022-10-14 |