NPI | 1669121406 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME163850) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN35738) |
Enumeration Date | 2022-03-21 |
Last Update Date | 2025-05-27 |