| NPI | 1295181998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 1015276) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: MA 1015276) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2023-08-17 |