| NPI | 1871106005 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036.164846) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 075443) |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2024-08-01 |