NPI | 1972786895 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA C56205) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD430067) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: DE C1-0009044) | |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA0858890) | |
Enumeration Date | 2007-12-13 |
Last Update Date | 2020-11-18 |