| NPI | 1972512853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036-127475) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 48703) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 48703) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2011-12-20 |