NPI | 1518948801 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME42197) |
Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: FL ME42197) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME42197) | |
Enumeration Date | 2005-11-14 |
Last Update Date | 2023-10-26 |