NPI | 1326187311 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO 48469) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 2004-0252) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2010-08-17 |