NPI | 1104916881 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: CO DR.0021841) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO 21841) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2018-11-16 |