| NPI | 1760564785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036-069684) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-069684) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2021-04-29 |