NPI | 1386107720 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: TX V7872) |
Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NC 2023-01668) |
Enumeration Date | 2019-04-11 |
Last Update Date | 2025-07-01 |