| NPI | 1013178466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 49687) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: CT 49687) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2016-03-09 |