NPI | 1780243337 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX W0133) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX W0133) |
Enumeration Date | 2019-06-07 |
Last Update Date | 2025-09-16 |