| NPI | 1174503585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: GA 048068) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: GA 048068) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2019-03-07 |