NPI | 1316946890 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036099563) |
Additional Taxonomies | 174400000X Specialist (Licence: IL 036099563) |
Enumeration Date | 2005-07-18 |
Last Update Date | 2021-12-14 |