NPI | 1609014695 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX S1604) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ME MD19661) |
Enumeration Date | 2009-01-28 |
Last Update Date | 2021-09-08 |