NPI | 1902068158 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: FL OS12441) |
Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: FL OS12441) |
Enumeration Date | 2008-06-30 |
Last Update Date | 2022-08-08 |