NPI | 1275736050 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CT 56793) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 230372) |
207RH0003X Internal Medicine Hematology & Oncology (Licence: MA 230372) | |
Enumeration Date | 2007-06-07 |
Last Update Date | 2022-07-21 |