NPI | 1437146552 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME0085909) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX T7106) |
207RX0202X Internal Medicine, Medical Oncology (Licence: VT 042-0015701) | |
207RH0000X Internal Medicine, Hematology (Licence: NH EL02774) | |
207RX0202X Internal Medicine, Medical Oncology (Licence: MI EMC0001603) | |
Enumeration Date | 2005-10-04 |
Last Update Date | 2024-01-19 |