NPI | 1861783185 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX PHYTEMP) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10039991) |
207RH0000X Internal Medicine, Hematology (Licence: NY 279093) | |
Enumeration Date | 2011-04-20 |
Last Update Date | 2021-10-04 |