NPI | 1336141241 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: FL ME112769) |
Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: PA MD433462) |
Enumeration Date | 2005-08-10 |
Last Update Date | 2016-08-11 |