NPI | 1316988090 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TX L9444) |
Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: TX L9444) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2025-08-11 |