NPI | 1851362883 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 46499) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 212002) |
Enumeration Date | 2006-01-28 |
Last Update Date | 2021-10-19 |