NPI | 1114001138 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D78398) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR E-4928) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2014-10-28 |