NPI | 1639552870 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA 343250) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 343250) |
Enumeration Date | 2015-07-07 |
Last Update Date | 2025-05-07 |