NPI | 1467450841 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX G-3463) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101284756) |
Enumeration Date | 2005-07-11 |
Last Update Date | 2025-03-06 |