NPI | 1285660035 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 44651) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 44651) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2012-04-17 |