NPI | 1699905364 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 5101018509) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101018509) |
Enumeration Date | 2009-07-16 |
Last Update Date | 2018-03-17 |