NPI | 1265428676 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TN MD15578) |
Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: AR E5308) |
207RH0003X Internal Medicine Hematology & Oncology (Licence: MS 21269) | |
Enumeration Date | 2005-09-21 |
Last Update Date | 2021-06-04 |