NPI | 1831300318 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX Q6552) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OK 22864) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2016-05-12 |