| NPI | 1306878228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NV 21637) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: NV 21637) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NV 21637) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 17969) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MS 12259) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AR N7811) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-05-06 |