| NPI | 1174725345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: GA 059381) |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: GA 059381) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2017-08-16 |