NPI | 1790103513 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2020009349) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 05-43060) |
Enumeration Date | 2014-03-29 |
Last Update Date | 2024-12-09 |