NPI | 1740505007 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA C183871) |
Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: CT 1.055360) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 1.055360) | |
207RX0202X Internal Medicine, Medical Oncology (Licence: CT 1.055360) | |
Enumeration Date | 2010-03-30 |
Last Update Date | 2023-06-28 |