| NPI | 1194983122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: GA 79570) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: DE C1-0025235) |
| 207RH0000X Internal Medicine, Hematology (Licence: GA 79570) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 44706) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: DE C1-0025235) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2022-08-08 |