NPI | 1588620025 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 029103) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 029103) |
Enumeration Date | 2006-04-25 |
Last Update Date | 2007-07-08 |