| NPI | 1386665081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: IL 036-068847) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-068847) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2021-04-27 |