NPI | 1164484614 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR C-7454) |
Additional Taxonomies | 174400000X Specialist (Licence: AR c7454) |
Enumeration Date | 2006-04-03 |
Last Update Date | 2024-08-09 |