| NPI | 1154434645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 44900) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036103134) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: KY 44900) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-12-01 |