NPI | 1891106936 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: UT 11701324-1205) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R74328) |
Enumeration Date | 2014-05-12 |
Last Update Date | 2023-11-27 |