| NPI | 1356447288 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: OR MD21945) | 
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR md21945) | 
| Enumeration Date | 2006-09-16 | 
| Last Update Date | 2021-08-17 |