NPI | 1083670087 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: ND 16017) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 430104282) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2019-10-21 |