NPI | 1316351018 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TX S3781) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301105124) |
Enumeration Date | 2014-06-20 |
Last Update Date | 2020-09-18 |