NPI | 1144333097 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: PA MD430294) |
Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: TX F3052) |
Enumeration Date | 2006-08-16 |
Last Update Date | 2015-03-25 |