NPI | 1720217714 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO CDR.0001190) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 60902) |
207R00000X Internal Medicine (Licence: ND 13567) | |
Enumeration Date | 2009-07-10 |
Last Update Date | 2021-07-02 |