| NPI | 1518237585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036.152740) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01070723A) |
| 207R00000X Internal Medicine (Licence: CA 148315) | |
| 207R00000X Internal Medicine (Licence: NY 276959) | |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2021-12-16 |