NPI | 1255667655 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO DR.0062478) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10023108) |
207R00000X Internal Medicine (Licence: TX N5566) | |
Enumeration Date | 2009-10-20 |
Last Update Date | 2023-09-06 |