NPI | 1962470252 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD037637E) |
Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: PA MD037637E) |
Enumeration Date | 2006-03-10 |
Last Update Date | 2011-10-21 |