NPI | 1700865243 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: ME MD21675) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD21675) |
207RH0000X Internal Medicine, Hematology (Licence: ME MD21675) | |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 137981-1) | |
Enumeration Date | 2006-01-12 |
Last Update Date | 2025-04-08 |