NPI | 1932638467 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX U2497) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10059676) |
Enumeration Date | 2017-06-08 |
Last Update Date | 2023-08-03 |