| NPI | 1093796419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 41347) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 41347) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 41347) | |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2018-04-24 |