NPI | 1467459222 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA C53685) |
Additional Taxonomies | 174400000X Specialist (Licence: CA C53685) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA MD11029) | |
Enumeration Date | 2005-07-07 |
Last Update Date | 2019-08-30 |