NPI | 1417903154 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CO DR.0044213) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO 44213) |
207RH0000X Internal Medicine, Hematology (Licence: CO DR.0044213) | |
Enumeration Date | 2006-05-25 |
Last Update Date | 2016-03-30 |