NPI | 1871763417 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX P4820) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P4820) |
Enumeration Date | 2008-03-11 |
Last Update Date | 2018-10-03 |