NPI | 1740283100 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D0023743) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WV 3470) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 02005407A) | |
Enumeration Date | 2005-05-31 |
Last Update Date | 2022-04-18 |