| NPI | 1275775454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036128814) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.055705) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2021-12-17 |