NPI | 1588771364 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: CA A69575) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A69575) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A69575) | |
Enumeration Date | 2006-08-25 |
Last Update Date | 2022-03-23 |