NPI | 1093334872 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 1025101) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NH 38489) |
Enumeration Date | 2020-04-13 |
Last Update Date | 2025-08-21 |