| NPI | 1245492768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: ID O-0817) |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: ID O-0817) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: ID O-0817) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2023-08-25 |