NPI | 1013915636 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL OS0006649) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL OS6649) |
Enumeration Date | 2005-07-08 |
Last Update Date | 2016-04-28 |