NPI | 1366476319 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 50320) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD00041314) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2020-10-01 |