NPI | 1659525756 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA 130892) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: UT 7465189-1205) |
Enumeration Date | 2008-11-17 |
Last Update Date | 2018-08-09 |