| NPI | 1184999336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 57387) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: CT 57387) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 57387) | |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2018-07-18 |