NPI | 1356337430 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: KY 39580) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 86350) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 39580) | |
Enumeration Date | 2005-09-23 |
Last Update Date | 2021-11-08 |