NPI | 1518970474 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101250562) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 430107500) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2012-03-29 |