NPI | 1164666079 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TN MD53040) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD53040) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 53040) | |
Enumeration Date | 2009-04-22 |
Last Update Date | 2022-03-31 |