NPI | 1780032664 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036148485) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.068766) |
Enumeration Date | 2016-06-01 |
Last Update Date | 2025-02-14 |