NPI | 1255335931 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: WI 29190) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 29190) |
Enumeration Date | 2005-06-09 |
Last Update Date | 2015-06-02 |