| NPI | 1104265347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: IL 036153622) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02945) |
| 207R00000X Internal Medicine (Licence: IL 036153622) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2024-03-05 |