NPI | 1568660561 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist |
Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: FL ME66653) |
207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME66653) | |
Enumeration Date | 2007-07-11 |
Last Update Date | 2011-12-22 |