NPI | 1639387384 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: VA 0101258424) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 246749) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: DC MD039213) | |
Enumeration Date | 2007-05-18 |
Last Update Date | 2022-11-29 |