| NPI | 1023098480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 41104) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NE 21810) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 41104) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2020-10-27 |