NPI | 1831280973 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 250750) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042-0011139) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2012-08-14 |