| NPI | 1154647758 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: MT 341051) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 245020) |
| 207RH0000X Internal Medicine Hematology (Licence: MT 341051) | |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2022-08-11 |