| NPI | 1841851391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA 347683) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036.160406) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2025-08-14 |