NPI | 1750659025 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 60246) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 60246) |
Enumeration Date | 2011-12-01 |
Last Update Date | 2020-08-14 |