NPI | 1003893199 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME130266) |
Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: FL ME130266) |
Enumeration Date | 2005-12-29 |
Last Update Date | 2022-08-06 |