NPI | 1114086063 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TX K5591) |
Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TN K5591) |
Enumeration Date | 2006-12-07 |
Last Update Date | 2021-07-22 |