| NPI | 1619396231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036142669) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10049455) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2021-03-17 |