| NPI | 1083677413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: AL MD.9260) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 42668) |
| 207RH0000X Internal Medicine Hematology (Licence: OH 35132100) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: UT 9511470-1205) | |
| 207RX0202X Internal Medicine Medical Oncology (Licence: UT 9511470-1205) | |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2025-03-18 |