| NPI | 1902883176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX V3969) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 36104168) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101242345) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD479986) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2024-12-18 |