NPI | 1962994004 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036170402) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04338) |
Enumeration Date | 2018-06-05 |
Last Update Date | 2024-09-05 |