NPI | 1336132844 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL me 96546) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME96546) |
Enumeration Date | 2005-08-30 |
Last Update Date | 2024-03-28 |