| NPI | 1114925542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: CA C53848) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C53848) |
| 207RH0000X Internal Medicine Hematology (Licence: CA C53848) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: CA C53848) | |
| Enumeration Date | 2005-07-10 |
| Last Update Date | 2024-04-25 |