NPI | 1033592035 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 72453-20) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.067089) |
Enumeration Date | 2015-07-08 |
Last Update Date | 2024-11-20 |