NPI | 1386643450 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D62798) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: DC 32562) |
Enumeration Date | 2005-07-20 |
Last Update Date | 2014-05-05 |