NPI | 1497935316 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35094369) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 52369) |
Enumeration Date | 2007-11-08 |
Last Update Date | 2019-04-17 |