NPI | 1578656005 |
---|---|
Other Name | N/A N/A |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 98477) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 54506) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2024-08-08 |