NPI | 1497915599 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO DR.0054503) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 6851476-1205) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 47626) | |
Enumeration Date | 2008-06-11 |
Last Update Date | 2023-10-04 |