NPI | 1073559068 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A68029) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A68029) |
Enumeration Date | 2006-06-20 |
Last Update Date | 2013-06-27 |