NPI | 1396776027 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: ID M8989) |
Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: WA MD60316942) |
207RX0202X Internal Medicine Medical Oncology (Licence: ID M-8989) | |
Enumeration Date | 2006-07-05 |
Last Update Date | 2020-03-19 |