| NPI | 1356361554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: CA A46221) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A46221) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: CA A46221) | |
| 2086X0206X Surgery Surgical Oncology (Licence: CA A46221) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2024-04-16 |