| NPI | 1881879716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX Q6352) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036120500) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 099327) | |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2018-03-17 |