| NPI | 1205867108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 80230) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 60230) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 60230) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2021-03-02 |