| NPI | 1952380107 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO R3981) | 
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 336010862) | 
| Enumeration Date | 2006-01-15 | 
| Last Update Date | 2008-05-07 |