NPI | 1295776383 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 40335) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD060602L) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: OK 25910) | |
Enumeration Date | 2006-06-09 |
Last Update Date | 2017-02-21 |