NPI | 1851435622 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO 28039) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 28039) |
Enumeration Date | 2007-02-16 |
Last Update Date | 2014-05-05 |