NPI | 1033155213 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 00G307720) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA 00G307720) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2007-07-09 |