NPI | 1750589529 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: SC 31217) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 2430) |
207RX0202X Internal Medicine, Medical Oncology (Licence: ME 018003) | |
Enumeration Date | 2007-07-03 |
Last Update Date | 2021-01-28 |