NPI | 1164652947 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 61043) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 253819) |
Enumeration Date | 2009-07-15 |
Last Update Date | 2013-07-12 |