NPI | 1063037208 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036166529) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125077076) |
Enumeration Date | 2020-06-13 |
Last Update Date | 2025-06-05 |