| NPI | 1164688834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 36124255) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 62725) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 02004225A) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2014-08-27 |