NPI | 1205885894 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: UT 5731277-1205) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 5731277-1205) |
Enumeration Date | 2006-05-09 |
Last Update Date | 2021-12-03 |