NPI | 1699765529 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 26850) |
Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NC 26850) |
207RX0202X Internal Medicine, Medical Oncology (Licence: NC 26850) | |
Enumeration Date | 2005-10-22 |
Last Update Date | 2022-09-26 |