| NPI | 1326265273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: AZ 56083) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: WI 57130) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2022-08-09 |