NPI | 1609423557 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MO 2022019688) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT217973) |
Enumeration Date | 2019-08-23 |
Last Update Date | 2022-07-19 |