NPI | 1164453395 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MA 254781) |
Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: ME 016220) |
207RH0003X Internal Medicine Hematology & Oncology (Licence: NH 13992) | |
207RH0003X Internal Medicine Hematology & Oncology (Licence: OR MD169038) | |
Enumeration Date | 2006-07-05 |
Last Update Date | 2024-09-13 |