NPI | 1417485822 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX U7680) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX BP10058875) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME148904) | |
Enumeration Date | 2017-05-30 |
Last Update Date | 2024-09-20 |