NPI | 1093017253 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 101507) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY p69451) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101273972) | |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: IA 40545) | |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 58677) | |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 88745) | |
Enumeration Date | 2010-11-21 |
Last Update Date | 2024-03-18 |