NPI | 1790926228 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 251320) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD13771) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: RI MD13771) | |
Enumeration Date | 2009-03-12 |
Last Update Date | 2025-03-09 |