NPI | 1891790515 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MN 39044) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 42544) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 39044) | |
Enumeration Date | 2005-06-17 |
Last Update Date | 2020-08-13 |