| NPI | 1003824210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: VA 0101058828) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101058828) |
| 207RH0000X Internal Medicine Hematology (Licence: VA 0101058828) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: VA 0101058828) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2021-09-10 |