NPI | 1235405317 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OR MD191240) |
Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: CA A126611) |
Enumeration Date | 2012-03-22 |
Last Update Date | 2019-03-21 |