NPI | 1568882876 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: IA MD-52624) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 04-43238) |
207R00000X Internal Medicine (Licence: MO 2014016536) | |
207RH0000X Internal Medicine, Hematology (Licence: IA MD-52624) | |
Enumeration Date | 2014-04-25 |
Last Update Date | 2024-05-13 |