NPI | 1013283035 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MA 263070) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 0251) |
Enumeration Date | 2012-03-23 |
Last Update Date | 2015-08-07 |