| NPI | 1043508757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OR MD215285) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 48932) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 48932) | |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2023-08-08 |