NPI | 1801888482 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: OH 35.070516) |
Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: OH 35070516) |
Enumeration Date | 2005-08-18 |
Last Update Date | 2025-05-14 |