| NPI | 1215031547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PR 14399) |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 261QX0200X Clinic/Center, Oncology (Licence: PR 14399) | |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2016-12-14 |