| NPI | 1790722619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WI 69155-20) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: IL 036096343) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2022-10-11 |