| NPI | 1306940705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 74165) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NH 22994) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ME 25272) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A42574) | |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2023-08-17 |