NPI | 1003869413 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 36633) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 36633) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2021-09-20 |