NPI | 1417211368 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: TX R7500) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX R7500) |
Enumeration Date | 2012-06-26 |
Last Update Date | 2020-11-10 |