NPI | 1417047283 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G28436) |
Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: CA G28436) |
207RX0202X Internal Medicine, Medical Oncology (Licence: CA G28436) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2021-11-03 |