NPI | 1821437054 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 70712) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 70712) |
Enumeration Date | 2013-06-20 |
Last Update Date | 2022-09-15 |