NPI | 1699161901 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 67421) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 67421-20) |
207R00000X Internal Medicine (Licence: WI 5892) | |
Enumeration Date | 2015-04-13 |
Last Update Date | 2021-06-07 |