NPI | 1578529749 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35070132) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 102570) |
Enumeration Date | 2006-04-25 |
Last Update Date | 2025-04-15 |