| NPI | 1144616533 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 274208) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 274208) | 
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 274208) | |
| Enumeration Date | 2015-04-13 | 
| Last Update Date | 2023-06-23 |