NPI | 1396972659 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX S8945) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NV 15981) |
Enumeration Date | 2009-06-15 |
Last Update Date | 2023-06-29 |