NPI | 1881844058 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: WV 27605) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 56468) |
Enumeration Date | 2008-09-24 |
Last Update Date | 2022-04-05 |