NPI | 1275997926 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 62602) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 1275997926) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 62602) | |
Enumeration Date | 2016-04-08 |
Last Update Date | 2022-12-29 |