NPI | 1235101684 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO R6858) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 04-25190) |
Enumeration Date | 2006-02-01 |
Last Update Date | 2016-05-09 |