| NPI | 1215483391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036148318) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.148318) |
| 207R00000X Internal Medicine (Licence: WI 71671) | |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2025-09-22 |