| NPI | 1982910527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036155397) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036155397) |
| 207R00000X Internal Medicine (Licence: FL ME115416) | |
| 207R00000X Internal Medicine (Licence: MI 4301114239) | |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2023-10-04 |