NPI | 1346658416 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL 51483) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 27308) |
Enumeration Date | 2014-08-01 |
Last Update Date | 2025-06-06 |