NPI | 1689678021 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01041350A) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301025790) |
Enumeration Date | 2005-06-13 |
Last Update Date | 2007-10-29 |