NPI | 1881265668 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 288967) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 288967) |
Enumeration Date | 2021-07-02 |
Last Update Date | 2024-08-30 |