NPI | 1194388868 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 76039) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 76039) |
Enumeration Date | 2019-04-18 |
Last Update Date | 2025-04-30 |