NPI | 1548524911 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC MD94484) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-252922) |
207RH0000X Internal Medicine, Hematology (Licence: MA 262290) | |
207RX0202X Internal Medicine, Medical Oncology (Licence: MA 262290) | |
Enumeration Date | 2012-06-29 |
Last Update Date | 2025-06-17 |