NPI | 1316327885 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD474751) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT209050) |
Enumeration Date | 2015-05-31 |
Last Update Date | 2021-08-09 |