NPI | 1356349112 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO DR.0071741) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.00717741) |
207R00000X Internal Medicine (Licence: CA G57111) | |
207R00000X Internal Medicine (Licence: WA MD61306843) | |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX J3475) | |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA g57111) | |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD61306843) | |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD27403) | |
Enumeration Date | 2005-07-14 |
Last Update Date | 2023-10-24 |