| NPI | 1306818109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: IL 036.109262) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2015-03-06 |