NPI | 1487094066 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: UT 11793611-1205) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 270993) |
207RH0003X Internal Medicine Hematology & Oncology (Licence: MA 270993) | |
Enumeration Date | 2013-06-27 |
Last Update Date | 2021-11-02 |