NPI | 1144583030 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036.145388) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125:061315) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX Q4019) | |
Enumeration Date | 2012-06-17 |
Last Update Date | 2021-03-25 |