| NPI | 1275997926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 62602) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 1275997926) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 62602) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2022-12-29 |