NPI | 1336643709 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 275818) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 275818) |
207RH0000X Internal Medicine, Hematology (Licence: MA 275818) | |
207RX0202X Internal Medicine, Medical Oncology (Licence: MA 275818) | |
Enumeration Date | 2018-03-21 |
Last Update Date | 2024-06-11 |