| NPI | 1093828311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD61000898) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME87817) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD170314) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME87817) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: OR MD170314) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-03-05 |