NPI | 1336332345 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: WI 81784-20) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 81784-20) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036119795) | |
Enumeration Date | 2007-08-22 |
Last Update Date | 2023-06-27 |