NPI | 1033562327 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 65266) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.068306) |
Enumeration Date | 2016-07-21 |
Last Update Date | 2023-12-08 |