NPI | 1386160596 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: UT 11731045-1205) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE TEP8102) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: UT 11731045-1205) | |
Enumeration Date | 2017-08-18 |
Last Update Date | 2023-08-23 |