| NPI | 1205530425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036.179664) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.082314) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2026-04-10 |