NPI | 1245735729 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 65860) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 65860) |
207R00000X Internal Medicine (Licence: MN 29155) | |
Enumeration Date | 2018-03-27 |
Last Update Date | 2021-06-22 |