NPI | 1962510826 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.120824) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL 101699) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2020-12-07 |