NPI | 1871937680 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OK 29938) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 29938) |
Enumeration Date | 2013-04-23 |
Last Update Date | 2020-06-30 |