NPI | 1245262336 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 21289) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 13100) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR N8169) | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2023-07-10 |