| NPI | 1669583431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-118125) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: IL 036-118125) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: IL 036-118125) | |
| 207R00000X Internal Medicine (Licence: HI MD-13902) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-01-07 |