NPI | 1508090473 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A172166) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A172166) |
207RH0000X Internal Medicine, Hematology (Licence: CA A172166) | |
207RX0202X Internal Medicine, Medical Oncology (Licence: CA A172166) | |
Enumeration Date | 2009-05-07 |
Last Update Date | 2021-08-12 |