NPI | 1346669983 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2022001802) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101259139) |
207R00000X Internal Medicine (Licence: VA 0101259136) | |
208D00000X General Practice (Licence: VA 0101259136) | |
Enumeration Date | 2014-04-10 |
Last Update Date | 2024-05-02 |