NPI | 1467839860 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.134550) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 299169) |
Enumeration Date | 2015-05-05 |
Last Update Date | 2021-08-31 |