NPI | 1174987721 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 64936) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 64936) |
Enumeration Date | 2016-04-10 |
Last Update Date | 2025-06-12 |