| NPI | 1013931526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D0051559) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: WI 52362) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: WI 52362) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MD D0051559) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2019-05-13 |