NPI | 1194961763 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 46050) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX 9645) |
Enumeration Date | 2009-01-01 |
Last Update Date | 2020-09-08 |