| NPI | 1316957368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101281714) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX H3989) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO DR.0066528) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0101281714) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2024-04-11 |