| NPI | 1316936040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME84642) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: DC MD046631) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: TX U1699) | |
| Enumeration Date | 2005-10-15 |
| Last Update Date | 2023-10-03 |