NPI | 1043745789 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CO DR.0075455) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T1332) |
207R00000X Internal Medicine (Licence: WA MD60963472) | |
Enumeration Date | 2017-05-01 |
Last Update Date | 2025-08-08 |