| NPI | 1336406040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: VT 042-0016157) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD455131) |
| 207RH0000X Internal Medicine, Hematology (Licence: VT 042-0016157) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD455131) | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2022-09-22 |