NPI | 1215315635 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 60767) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 60767) |
Enumeration Date | 2015-05-18 |
Last Update Date | 2021-10-15 |