NPI | 1356457857 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD60482539) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G269600) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2014-08-04 |