| NPI | 1134189814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: SC 21325) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 21325) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 074553) | |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2024-09-19 |