NPI | 1790344471 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036.159158) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125073592) |
Enumeration Date | 2019-06-06 |
Last Update Date | 2022-04-02 |