NPI | 1053339788 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA G88129) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G88129) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G88129) | |
Enumeration Date | 2006-07-18 |
Last Update Date | 2024-04-12 |