NPI | 1356332639 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 220342) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 220342) |
Enumeration Date | 2005-11-04 |
Last Update Date | 2012-09-07 |