| NPI | 1518944800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: IL 036.065109) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2015-03-06 |