NPI | 1619256377 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: FL ME149649) |
Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: FL ME149649) |
207RH0003X Internal Medicine Hematology & Oncology (Licence: MD D0083578) | |
208M00000X Hospitalist (Licence: MD D83578) | |
Enumeration Date | 2011-08-12 |
Last Update Date | 2024-07-17 |