| 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 |