NPI | 1275528382 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: FL 62467) |
Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: AL 17614) |
207RX0202X Internal Medicine Medical Oncology (Licence: OR MD221267) | |
207RX0202X Internal Medicine Medical Oncology (Licence: TX H2823) | |
Enumeration Date | 2005-09-14 |
Last Update Date | 2024-08-26 |