NPI | 1760831010 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD61259171) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD61259171) |
Enumeration Date | 2016-06-08 |
Last Update Date | 2024-03-27 |