NPI | 1134688468 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125073700) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036160160) |
Enumeration Date | 2019-03-16 |
Last Update Date | 2025-06-06 |