NPI | 1144290032 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 01943) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 17418) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN DO1943) | |
Enumeration Date | 2006-01-24 |
Last Update Date | 2013-02-28 |