| NPI | 1598776494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036.049083) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036049083) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2016-02-26 |