NPI | 1538788807 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MT227907) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04953) |
Enumeration Date | 2020-04-15 |
Last Update Date | 2023-06-21 |