NPI | 1992318166 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 76080) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD-23352) |
Enumeration Date | 2020-08-27 |
Last Update Date | 2024-10-21 |