NPI | 1417932757 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD422363) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 158662) |
Enumeration Date | 2005-12-09 |
Last Update Date | 2007-07-08 |