| NPI | 1457709404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125068590) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: GA 91582) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036169066) | |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2024-04-03 |