NPI | 1164785291 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME124796) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q3389) |
207R00000X Internal Medicine (Licence: FL ME124796) | |
207RH0000X Internal Medicine, Hematology (Licence: FL ME124796) | |
Enumeration Date | 2012-06-22 |
Last Update Date | 2025-07-09 |