NPI | 1962692368 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 04-39294) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301102355) |
207R00000X Internal Medicine (Licence: MO 2013073691) | |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2013073691) | |
Enumeration Date | 2007-07-31 |
Last Update Date | 2024-06-24 |