NPI | 1083069470 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 008380) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS019524) |
Enumeration Date | 2016-05-04 |
Last Update Date | 2020-09-09 |