| NPI | 1346535408 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 56676) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 56676) | 
| 207RH0000X Internal Medicine, Hematology (Licence: MN 56676) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 56676) | |
| Enumeration Date | 2011-06-16 | 
| Last Update Date | 2020-08-19 |