NPI | 1871841908 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.132661) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125060747) |
Enumeration Date | 2012-08-21 |
Last Update Date | 2021-01-07 |