NPI | 1922118280 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2012003219) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036-066106) |
207RX0202X Internal Medicine, Medical Oncology (Licence: WV 24692) | |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: ID M-11165) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2016-09-07 |