NPI | 1477668911 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NC 2008-01883) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH RT-1468) |
207R00000X Internal Medicine (Licence: NC 2008-01883) | |
Enumeration Date | 2006-08-21 |
Last Update Date | 2013-07-10 |