NPI | 1558598110 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD60652275) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 241191) |
Enumeration Date | 2009-06-22 |
Last Update Date | 2016-09-22 |