NPI | 1871844258 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 56370) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: AZ 56370) |
207R00000X Internal Medicine (Licence: AZ 56370) | |
Enumeration Date | 2012-09-26 |
Last Update Date | 2024-12-11 |