NPI | 1124000278 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA OS011961) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 042818) |
Enumeration Date | 2005-11-15 |
Last Update Date | 2011-06-20 |