| NPI | 1194995357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036-128607) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 247809) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2011-07-26 |