NPI | 1366757775 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: TX K9752) |
Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NY 257976) |
207RX0202X Internal Medicine, Medical Oncology (Licence: NY 257976) | |
Enumeration Date | 2010-08-10 |
Last Update Date | 2023-03-01 |