NPI | 1609317866 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TX S6084) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S6084) |
Enumeration Date | 2017-03-20 |
Last Update Date | 2024-09-04 |