NPI | 1588184956 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036168832) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11019638A) |
Enumeration Date | 2017-06-26 |
Last Update Date | 2025-01-08 |