NPI | 1932310034 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO 50124) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 5101016452) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2014-10-21 |