NPI | 1437111978 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD459918) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MD D55065) |
207RX0202X Internal Medicine, Medical Oncology (Licence: NM MD2013-0448) | |
Enumeration Date | 2006-04-03 |
Last Update Date | 2018-04-09 |