| 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 |