NPI | 1184721870 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD020976E) |
Additional Taxonomies | 174400000X Specialist (Licence: PA MD0209768) |
Enumeration Date | 2006-09-17 |
Last Update Date | 2015-08-31 |