NPI | 1750776910 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 61229) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD467345) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: UT 12243243-1205) | |
207RX0202X Internal Medicine, Medical Oncology (Licence: UT 12243243) | |
Enumeration Date | 2015-04-03 |
Last Update Date | 2024-05-31 |