NPI | 1154396182 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036140637) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2015026177) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 40555) | |
Enumeration Date | 2006-02-22 |
Last Update Date | 2016-08-19 |