| NPI | 1083694954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 3478) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: GA 045527) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35C.001386) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: GA 045527) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2024-03-05 |