NPI | 1750721932 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: AZ 70557) |
Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: MN 71790) |
Enumeration Date | 2013-07-02 |
Last Update Date | 2023-08-21 |