| NPI | 1124071592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: ID MC-0445) |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: ID MC-0445) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: WA MD00046391) | |
| 207RX0202X Internal Medicine Medical Oncology (Licence: ID MC-0445) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2023-08-25 |