| NPI | 1114902913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: IA 20111) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 20111) |
| 207RH0000X Internal Medicine, Hematology (Licence: IA 20111) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2007-11-28 |