NPI | 1003830746 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: TN 16949) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 38674) |
207RH0000X Internal Medicine, Hematology (Licence: KY 38674) | |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 38674) | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2024-01-23 |