NPI | 1184853178 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: GA 89973) |
Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NC 2015-01476) |
Enumeration Date | 2009-07-10 |
Last Update Date | 2021-10-21 |