NPI | 1619981768 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: CO 0057153) |
Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: IL 036.079516) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2018-11-16 |