NPI | 1225423148 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA 173950) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 123456789) |
Enumeration Date | 2015-03-30 |
Last Update Date | 2021-10-04 |