NPI | 1972619708 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: CA C133507) |
Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: KY 40219) |
Enumeration Date | 2006-08-22 |
Last Update Date | 2015-03-31 |