NPI | 1700980299 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX M8506) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 04-30473) |
Enumeration Date | 2006-09-12 |
Last Update Date | 2023-02-20 |