NPI | 1174054548 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: KY 58060) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35.138568) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 58060) | |
Enumeration Date | 2017-03-27 |
Last Update Date | 2023-06-20 |