NPI | 1801968334 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A86789) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A86789) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2019-12-27 |