NPI | 1144223835 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: UT 281961-1205) |
Additional Taxonomies | 174400000X Specialist (Licence: CA G79679) |
207RH0003X Internal Medicine Hematology & Oncology (Licence: UT 2819611205) | |
Enumeration Date | 2005-05-27 |
Last Update Date | 2023-11-27 |