| NPI | 1609336098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036158694) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.074883) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2025-08-20 |