| NPI | 1225562606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301503444) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301503444) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2023-11-13 |