NPI | 1790955623 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.093461) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 57.007684) |
Enumeration Date | 2008-03-06 |
Last Update Date | 2009-05-27 |