NPI | 1790773471 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 242390) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD444782) |
207R00000X Internal Medicine (Licence: PA MD444782) | |
Enumeration Date | 2005-10-07 |
Last Update Date | 2022-05-12 |