NPI | 1306942644 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NM MD2017-0211) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2006004166) |
207RH0003X Internal Medicine Hematology & Oncology (Licence: NY 268689) | |
207RH0003X Internal Medicine Hematology & Oncology (Licence: TX M5569) | |
Enumeration Date | 2006-09-15 |
Last Update Date | 2020-05-26 |