| NPI | 1023040094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 2017-01930) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME84216) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 20018) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME84216) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2018-03-21 |