NPI | 1003055302 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 62404) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301092523) |
Enumeration Date | 2009-02-10 |
Last Update Date | 2014-07-15 |