NPI | 1720134315 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: CO 45842) |
Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: CO 45842) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2018-09-05 |