NPI | 1205079373 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX S4894) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A131869) |
Enumeration Date | 2009-04-19 |
Last Update Date | 2020-05-07 |