NPI | 1356388383 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: CA G56887) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G56887) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G56887) | |
207RX0202X Internal Medicine, Medical Oncology (Licence: CA G56887) | |
Enumeration Date | 2006-05-31 |
Last Update Date | 2024-04-12 |