NPI | 1114908027 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 27223) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 27223) |
Enumeration Date | 2005-11-08 |
Last Update Date | 2007-07-08 |