NPI | 1720037989 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: FL ME41521) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME41521) |
Enumeration Date | 2006-05-08 |
Last Update Date | 2017-12-14 |