NPI | 1063875052 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX S4434) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 30275) |
207R00000X Internal Medicine (Licence: TX s4434) | |
Enumeration Date | 2016-03-29 |
Last Update Date | 2024-02-02 |