NPI | 1285730820 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A69795) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A 69795) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2022-07-08 |