| NPI | 1982136214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CO DR.0070111) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036.151880) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: CO DR.0070111) | |
| 207R00000X Internal Medicine (Licence: IL 421398) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2026-03-25 |