NPI | 1205812104 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO 0035987) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD21314) |
Enumeration Date | 2005-12-22 |
Last Update Date | 2016-01-27 |