| NPI | 1215152723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: TX BP10033466) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-117585) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: AZ 005668) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2012-10-31 |