| NPI | 1104053552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME123451) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: FL ME123451) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2024-07-17 |