| NPI | 1861658288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 244577) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036116978) |
| 207RH0000X Internal Medicine, Hematology (Licence: IL 036116978) | |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2018-02-19 |