NPI | 1396907275 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A103155) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD60095720) |
Enumeration Date | 2008-07-01 |
Last Update Date | 2014-05-08 |