NPI | 1689671455 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301054459) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: RI MD10207) |
208000000X Pediatrics (Licence: MI 4301054459) | |
Enumeration Date | 2005-07-07 |
Last Update Date | 2014-01-24 |