NPI | 1639260771 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME83677) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA 15621R) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2024-07-17 |