NPI | 1245767193 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PR 21779) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 21779) |
Enumeration Date | 2017-05-22 |
Last Update Date | 2024-08-13 |