NPI | 1467443325 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NH LT-3605) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101056857) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: VT 042.0013310) | |
Enumeration Date | 2005-10-31 |
Last Update Date | 2015-11-25 |