| NPI | 1215282264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA C194081) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 280526) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 69856) | |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2024-04-18 |