NPI | 1689055832 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 283332) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125066909) |
Enumeration Date | 2015-06-13 |
Last Update Date | 2024-08-14 |