NPI | 1548790041 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A170000) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351043144) |
Enumeration Date | 2017-06-16 |
Last Update Date | 2024-07-19 |