NPI | 1316482128 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MD D0063489) |
Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: CO 28397) |
Enumeration Date | 2017-01-03 |
Last Update Date | 2017-01-03 |