NPI | 1669633897 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 006924) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX N9156) |
Enumeration Date | 2008-06-20 |
Last Update Date | 2020-09-08 |