NPI | 1134102536 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 16102) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 24842) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G50238) | |
Enumeration Date | 2005-11-21 |
Last Update Date | 2023-10-31 |