NPI | 1780857375 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 074148) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042-0012239) |
Enumeration Date | 2008-04-04 |
Last Update Date | 2015-10-08 |