| NPI | 1114919503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME68929) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 36771) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 17856) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR E3595) | |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2023-04-28 |