NPI | 1851369672 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD60688918) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036-101548) |
Enumeration Date | 2006-03-08 |
Last Update Date | 2018-08-22 |