NPI | 1366671943 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NV 20662) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A140899) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A140899) | |
Enumeration Date | 2009-07-05 |
Last Update Date | 2021-06-01 |