| NPI | 1922286954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NE 25688) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 60234) |
| 207R00000X Internal Medicine (Licence: IL 036116898) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A129758) | |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2014-06-09 |