NPI | 1912994872 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: FL ME92759) |
Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TX L6068) |
207RH0003X Internal Medicine Hematology & Oncology (Licence: WI 101548) | |
208000000X Pediatrics (Licence: MI 4301072567) | |
Enumeration Date | 2005-10-05 |
Last Update Date | 2024-03-15 |