| NPI | 1255568721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NM MD2016-0632) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 81-000090) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35-000000) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: GA 001172) | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2016-09-30 |