| NPI | 1295211373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: IL 036167261) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 64034) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2024-07-23 |