NPI | 1154394690 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD424153) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD424153) |
Enumeration Date | 2006-02-07 |
Last Update Date | 2021-01-29 |