| NPI | 1225002694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA 92313) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: CA 92313) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2023-03-07 |