NPI | 1790703908 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX G7027) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX G7027) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2007-07-16 |