NPI | 1205154689 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ME MD29335) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA 308638) |
207R00000X Internal Medicine (Licence: MD D0075419) | |
Enumeration Date | 2010-05-11 |
Last Update Date | 2025-04-16 |