NPI | 1982821906 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 254002) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 14613) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2018-08-16 |