| NPI | 1265829741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 76141) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NC 2021-01405) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 2021-01405) | |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2023-12-21 |