NPI | 1043508757 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OR MD215285) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 48932) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 48932) | |
Enumeration Date | 2011-07-14 |
Last Update Date | 2023-08-08 |