NPI | 1235332925 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CA C132350) |
Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: WA MD60875417) |
207RX0202X Internal Medicine Medical Oncology (Licence: WA MD60875417) | |
Enumeration Date | 2007-06-08 |
Last Update Date | 2021-08-03 |