NPI | 1396735585 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: AZ 49332) |
Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: MA 77854) |
207RX0202X Internal Medicine, Medical Oncology (Licence: MA 77854) | |
Enumeration Date | 2005-10-27 |
Last Update Date | 2024-10-10 |