NPI | 1306282025 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 58264) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 58264) |
Enumeration Date | 2013-05-21 |
Last Update Date | 2019-09-17 |