| NPI | 1003076795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-123033) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: IL 036-123033) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2025-03-25 |