NPI | 1508826421 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 56410) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME98615) |
Enumeration Date | 2006-03-24 |
Last Update Date | 2015-09-11 |