| NPI | 1134532286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME162695) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 54248) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101267626) | |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2023-09-05 |