NPI | 1538359666 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 42964) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 233624) |
207R00000X Internal Medicine (Licence: CT 42964) | |
Enumeration Date | 2007-07-25 |
Last Update Date | 2013-07-29 |