NPI | 1811212491 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: ID M-17639) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ID M-17639) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A103718) | |
207RX0202X Internal Medicine, Medical Oncology (Licence: OR MD220243) | |
207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD61651880) | |
Enumeration Date | 2010-04-07 |
Last Update Date | 2025-10-11 |