| NPI | 1083684187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 45995) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 45995) |
| 207R00000X Internal Medicine (Licence: IA 37199) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IA 37199) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 46666) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 45995) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2020-08-14 |