| NPI | 1114157195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO DR.0062639) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV SL0646) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: OK 5355) | |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2021-03-01 |