NPI | 1144578683 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA 20A17393) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10044534) |
Enumeration Date | 2012-08-15 |
Last Update Date | 2019-07-12 |