NPI | 1588628093 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL MFC1489) |
Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: FL MFC1489) |
Enumeration Date | 2006-04-13 |
Last Update Date | 2014-01-27 |