NPI | 1386632057 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301510697) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 257954) |
Enumeration Date | 2005-10-07 |
Last Update Date | 2025-02-11 |