NPI | 1871762971 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME136803) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 60534) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO DR.0069619) | |
Enumeration Date | 2008-02-22 |
Last Update Date | 2022-09-15 |