NPI | 1528026002 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA C55514) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 216968) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2012-11-09 |