NPI | 1053846485 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A160141) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A160141) |
Enumeration Date | 2017-04-24 |
Last Update Date | 2023-09-25 |