| NPI | 1346554912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301503037) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301096086) |
| 207RH0000X Internal Medicine, Hematology (Licence: MI 4301503037) | |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2023-09-06 |