NPI | 1104267608 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.127931) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: HI MD-21913) |
207R00000X Internal Medicine (Licence: MI 4301102960) | |
Enumeration Date | 2013-07-12 |
Last Update Date | 2024-11-03 |