NPI | 1427580703 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 67752) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 67752) |
207R00000X Internal Medicine (Licence: MN 30035) | |
Enumeration Date | 2017-03-28 |
Last Update Date | 2022-06-30 |