NPI | 1194845131 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-042940) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036-042940) |
Enumeration Date | 2007-03-31 |
Last Update Date | 2014-12-08 |