NPI | 1467664136 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CO DR.0052119) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WY 9663A) |
207R00000X Internal Medicine (Licence: CO DR.0052119) | |
207RH0003X Internal Medicine Hematology & Oncology (Licence: WY 9663A) | |
Enumeration Date | 2007-05-04 |
Last Update Date | 2016-03-17 |