NPI | 1235124934 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 40013) |
Additional Taxonomies | 174400000X Specialist (Licence: VA 0101040855) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX M7621) | |
Enumeration Date | 2005-09-19 |
Last Update Date | 2020-11-05 |