| NPI | 1285710152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL 21605) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME105054) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME105054) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NH 21605) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: CO CDRH.0062072) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 9701559) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2024-07-09 |