NPI | 1427438928 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA 19179) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL 5101022064) |
Enumeration Date | 2015-06-01 |
Last Update Date | 2022-01-25 |