NPI | 1053791517 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2021-01298) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA R10218) |
207R00000X Internal Medicine (Licence: IA R10218) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA R10218) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: IA R10218) | |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: IA R10218) | |
Enumeration Date | 2015-05-31 |
Last Update Date | 2024-05-08 |