| NPI | 1033147186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: SC 34690) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC AL34690) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: CA G84932) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2022-03-02 |