NPI | 1134561632 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD465892) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT204361) |
Enumeration Date | 2013-07-24 |
Last Update Date | 2021-03-04 |