| NPI | 1063502540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: IA SP210) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: UT 6630705) |
| 207R00000X Internal Medicine (Licence: IA SP210) | |
| 207RX0202X Internal Medicine Medical Oncology (Licence: IA SP210) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2012-02-08 |