NPI | 1477552289 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME122879) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD437414) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: NH 16369) | |
Enumeration Date | 2005-07-14 |
Last Update Date | 2018-03-17 |