NPI | 1881682318 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G56488) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 209802) |
Enumeration Date | 2005-10-10 |
Last Update Date | 2018-08-14 |