NPI | 1487186896 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MN 69228) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 69228) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL MD.37680) | |
Enumeration Date | 2017-04-03 |
Last Update Date | 2024-06-24 |