NPI | 1861409369 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 9500985) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 9500985) |
207RX0202X Internal Medicine, Medical Oncology (Licence: NC 9500985) | |
207RH0000X Internal Medicine, Hematology (Licence: NC 9500985) | |
Enumeration Date | 2006-08-01 |
Last Update Date | 2016-10-21 |