| NPI | 1356427256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036-084973) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: IL 036-084973) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2025-04-17 |