| NPI | 1801205208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036.144002) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125064862) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2022-07-21 |