NPI | 1891284030 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2024017800) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 65931) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 65931) | |
207R00000X Internal Medicine (Licence: MN 29212) | |
Enumeration Date | 2018-05-03 |
Last Update Date | 2024-07-29 |