NPI | 1598430043 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: TX V5954) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 47997) |
207R00000X Internal Medicine (Licence: TX V5954) | |
207RH0000X Internal Medicine, Hematology (Licence: TX 47997) | |
Enumeration Date | 2021-08-16 |
Last Update Date | 2025-07-03 |