NPI | 1164420105 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX L2619) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA TD61092468) |
207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD61092467) | |
207RH0000X Internal Medicine, Hematology (Licence: WA MD61092467) | |
207R00000X Internal Medicine (Licence: WA MD61092467) | |
Enumeration Date | 2005-07-13 |
Last Update Date | 2024-05-09 |