NPI | 1083643845 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 30872) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 17759) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR E3978) | |
Enumeration Date | 2006-07-02 |
Last Update Date | 2023-06-21 |