NPI | 1063491066 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MN 39113) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 39113) |
Enumeration Date | 2006-01-10 |
Last Update Date | 2016-09-09 |