NPI | 1376727115 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MN 49832) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 49832) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 49832) | |
Enumeration Date | 2007-12-27 |
Last Update Date | 2020-08-19 |