NPI | 1528173291 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO DR-37894) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME90503) |
207R00000X Internal Medicine (Licence: FL ME90503) | |
Enumeration Date | 2006-08-20 |
Last Update Date | 2010-06-04 |