NPI | 1215139027 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX N6522) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA MD.202370) |
207RH0000X Internal Medicine, Hematology (Licence: TX N6522) | |
207RX0202X Internal Medicine, Medical Oncology (Licence: TX N6522) | |
Enumeration Date | 2007-06-04 |
Last Update Date | 2024-05-29 |