NPI | 1548274004 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 048537) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 21688) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2024-06-18 |