NPI | 1073629812 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: KY 57314) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301081341) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301081341) | |
Enumeration Date | 2006-08-22 |
Last Update Date | 2022-10-18 |