NPI | 1588325609 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 75366) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 32692) |
207R00000X Internal Medicine (Licence: MN 75366) | |
Enumeration Date | 2022-01-02 |
Last Update Date | 2025-06-17 |