NPI | 1114942802 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G25869) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G25869) |
207RX0202X Internal Medicine, Medical Oncology (Licence: CA G25869) | |
Enumeration Date | 2006-07-13 |
Last Update Date | 2020-09-25 |