NPI | 1841298387 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX M9245) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA MD.11861R) |
207RX0202X Internal Medicine, Medical Oncology (Licence: LA 11861R) | |
Enumeration Date | 2005-07-08 |
Last Update Date | 2014-11-25 |