| NPI | 1982264164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX T6732) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125075044) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2022-06-22 |