| NPI | 1255408258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 50742) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 50742) |
| 207R00000X Internal Medicine (Licence: MD D0061790) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-21 |