| NPI | 1851412555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 61114) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.117884) |
| 207R00000X Internal Medicine (Licence: WI 61114) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2014-03-24 |