NPI | 1730640699 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0101285501) |
Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: VA 0101285501) |
Enumeration Date | 2019-03-25 |
Last Update Date | 2025-06-17 |