NPI | 1992226575 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: MI 4301509017) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301113204) |
207RH0000X Internal Medicine Hematology (Licence: MI 4301509017) | |
Enumeration Date | 2017-07-04 |
Last Update Date | 2023-08-28 |