| NPI | 1336189174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: NC 9600417) |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology (Licence: NC 9600417) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2014-09-16 |