| NPI | 1912163114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036122919) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036122919) |
| 207RH0000X Internal Medicine, Hematology (Licence: IL 036122919) | |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2017-11-21 |