NPI | 1124229869 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OK 31254) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 253031) |
Enumeration Date | 2007-05-30 |
Last Update Date | 2015-05-28 |