NPI | 1407037278 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD00044154) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00044154) |
Enumeration Date | 2007-11-20 |
Last Update Date | 2014-07-28 |