NPI | 1649680406 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 56206) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 56206) |
Enumeration Date | 2014-05-02 |
Last Update Date | 2022-03-26 |