NPI | 1306157458 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: CO 72189) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP01899) |
207R00000X Internal Medicine (Licence: FL ME115594) | |
207RH0000X Internal Medicine, Hematology (Licence: OR MD205893) | |
Enumeration Date | 2010-06-23 |
Last Update Date | 2024-09-23 |