NPI | 1386600211 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G46155) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G46155) |
Enumeration Date | 2006-04-20 |
Last Update Date | 2007-09-11 |