NPI | 1194718692 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35-097835) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 23780) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2008-01240) | |
Enumeration Date | 2005-08-30 |
Last Update Date | 2021-01-14 |