NPI | 1306041900 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 63106) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10025711) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX BP10025711) | |
Enumeration Date | 2007-06-15 |
Last Update Date | 2024-07-19 |