| NPI | 1275528382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL 62467) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL 17614) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: TX H2823) | |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2020-07-01 |