NPI | 1912976507 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WV 23209) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01045209A) |
Enumeration Date | 2006-03-16 |
Last Update Date | 2015-12-08 |