NPI | 1861923633 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2020022760) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020022760) |
Enumeration Date | 2017-03-23 |
Last Update Date | 2023-07-10 |