NPI | 1689660912 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VT 0420009677) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VT 9677) |
Enumeration Date | 2005-09-22 |
Last Update Date | 2014-12-04 |