| NPI | 1316948995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: KY 33876) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: IN 01043397A) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2021-10-13 |