| NPI | 1104274836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036149590) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.068349) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2024-12-09 |