| NPI | 1356506265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CO dr.0055004) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO dr.0055004) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO dr.0055004) | |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2020-10-14 |