NPI | 1508074402 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: FL ME159623) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 56298) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2016-02270) | |
Enumeration Date | 2007-05-21 |
Last Update Date | 2023-05-11 |