NPI | 1528269917 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: FL ME118024) |
Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: TX M1362) |
207RH0000X Internal Medicine Hematology (Licence: FL ME118024) | |
Enumeration Date | 2007-05-31 |
Last Update Date | 2022-09-02 |