NPI | 1033147566 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD027079E) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD027079E) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2019-09-24 |