NPI | 1619031838 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: OR MD24415) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD24415) |
207RX0202X Internal Medicine, Medical Oncology (Licence: OR MD24415) | |
Enumeration Date | 2006-12-21 |
Last Update Date | 2024-05-06 |