| NPI | 1962064766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 71261) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125073891) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2022-12-28 |