NPI | 1891798914 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO CDR.4253) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D0063031) |
Enumeration Date | 2005-05-23 |
Last Update Date | 2025-01-07 |