NPI | 1407896947 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101241203) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 33807) |
207RX0202X Internal Medicine, Medical Oncology (Licence: VA 010241203) | |
207R00000X Internal Medicine (Licence: VA 0101241203) | |
Enumeration Date | 2006-06-06 |
Last Update Date | 2025-03-20 |