| NPI | 1073792289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: AZ 40642) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: AZ 40642) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2016-04-14 |