NPI | 1780993907 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME128426) |
Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: FL ME128426) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME128426) | |
Enumeration Date | 2010-10-05 |
Last Update Date | 2024-11-04 |