NPI | 1003258583 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: FL ME164064) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036126207) |
207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME164064) | |
207RX0202X Internal Medicine, Medical Oncology (Licence: IL 036126207) | |
Enumeration Date | 2013-07-24 |
Last Update Date | 2024-01-23 |