| NPI | 1245221993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: FL ME39180) |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: FL ME39180) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2022-08-06 |