NPI | 1487653911 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: NC 2013-01953) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2013-01953) |
207RH0000X Internal Medicine Hematology (Licence: NC 2013-01953) | |
207RH0003X Internal Medicine Hematology & Oncology (Licence: NC 2013-01953) | |
Enumeration Date | 2005-07-18 |
Last Update Date | 2024-07-15 |