NPI | 1942267083 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX 46720) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35087138) |
207R00000X Internal Medicine (Licence: UT 8586760-1205) | |
Enumeration Date | 2006-05-01 |
Last Update Date | 2019-04-19 |