NPI | 1104874171 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CA A34660) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A34660) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2023-04-28 |