NPI | 1639611122 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 57.245303) |
Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: TX BP10055493) |
Enumeration Date | 2016-11-15 |
Last Update Date | 2018-07-30 |