NPI | 1336433549 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TN 57038) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 247957) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 103502) | |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA FS5589455) | |
Enumeration Date | 2011-06-06 |
Last Update Date | 2025-08-12 |